Dental
Candelaria, Carlos
Candelaria, Carlos was paid $532K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.
33Billing provider infoCANDELARIA, CARLOS
CAGUAS, PR 00725
CAGUAS, PR 00725
33aNPI1013969062assigned 05/17/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$532K
24GClaims26,572
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#60 of 551
Median peer was paid$99K
This provider vs. median5.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,546 | $44K | |
| 2019 | 3,900 | $71K | |
| 2020 | 2,600 | $55K | |
| 2021 | 2,026 | $40K | |
| 2022 | 5,322 | $109K | |
| 2023 | 5,745 | $123K | |
| 2024incomplete | 4,433 | $91K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 26% | 4,970 | 4,557 | $136K |
| D1999 | 16% | 5,733 | 5,163 | $88K | |
| D0330 | Panoramic radiographic image | 11% | 2,082 | 1,865 | $61K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 4,265 | 3,966 | $57K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.8% | 2,049 | 1,813 | $42K |
| D0272 | Bitewings - two radiographic images | 7.1% | 2,650 | 2,370 | $38K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.4% | 850 | 463 | $34K |
| D1208 | Topical application of fluoride, excluding varnish | 6.1% | 2,325 | 2,121 | $33K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.6% | 1,034 | 935 | $19K |
| D2160 | 3.5% | 374 | 229 | $19K | |
| D2140 | <1% | 166 | 102 | $5K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 74 | 63 | $1K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.